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digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
January 01, 2018 - Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead … issues, and nearly 20 percent of those may have harmed patients. 1 System feedback and visual display problems
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan93/impaired-visual-acuity-in-older-adults-screening-2016
September 27, 2014 - visual acuity (based on current corrected vision) and who have not sought care for evaluation of vision problems … visual acuity (based on current corrected vision) who have not sought care for evaluation of vision problems … 3: Known impaired visual acuity based on current corrected vision or care for evaluation of vision problems
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit4_1.pdf
January 01, 2009 - $11.5 $10.5 $7,600 $8,800 $9,000 1.0%
Spondylosis, intervertebral disc disorders, and
other back problems … were musculoskeletal: osteoarthritis, spondylosis,
intervertebral disc disorders, and other back problems … Cardiac dysrhythmias
Respiratory failure
Spondylosis, intervertebral disc disorders,
and other back problems
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - significant proportion of complaints represent true safety concerns, although
complaints encompass problems … patient-participation-current-knowledge-and-applicability-patient-safety
https://psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients … health IT platform for soliciting patient complaints rather than traditional means for
identifying problems … diagnostic-errors
https://psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/drug-use-illicit-screening-january-2008
January 15, 2008 - published clinical trial of treatment interventions involved individuals who had already developed problems … been studied almost exclusively in individuals who have already developed medical, social, or legal problems … observational studies are needed to establish more clearly the effect of treatment on social/legal problems … although behavioral counseling interventions for cannabis misuse appear to reduce cannabis-related problems … There was also no evidence found of harms of behavioral interventions to treat drug abuse problems.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Qh7NQD6ZEynjyRso7L5-gS
January 15, 2008 - Rationale
Importance: Illicit drug use and abuse are serious problems among
adolescents, adults, … published
clinical trial of treatment interventions involved individuals who had already
developed problems … observational studies are needed to establish more clearly the effect of
treatment on social/legal problems … although behavioral counseling
interventions for cannabis misuse appear to reduce cannabis-related problems … There was also no
evidence found of harms of behavioral interventions to treat drug abuse
problems.
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digital.ahrq.gov/principal-investigator/lobach-david
January 01, 2023 - Network
Decision support for evidence-based pharmacotherapy detects adherence problems … Decision support for evidence-based pharmacotherapy detects adherence problems but does not impact medication
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psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals
January 30, 2019 - June 21, 2017
Often overlooked problems with handoffs: from the intensive care unit to … Care Units
Quality and Safety Professionals
Critical Care
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
December 21, 2022 - Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems … July 22, 2020
Analysis of pharmacist-identified medication-related problems at two United
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs022674-adler-milstein-final-report-2014.pdf
January 01, 2014 - reconciliation of medications (for >50% of transitions of care) as well as medication allergies
and problems … Clarify whether acute problems and short-term medications need to be reconciled. … Clarify what
types of problems and medications should be reconciled to resolve heterogeneity in current … Second, practices differed in whether or not they included acute problems on the problem list and short … For example, some practices chose not to enter acute problems, such as
sinus infections, in the problem
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/oral-health-screening-interventions-draft-rec-bulletin.pdf
June 20, 2023 - Risk factors for developing oral health problems include lack of brushing and flossing teeth, high sugar … Race and ethnicity are also
associated with risk of oral health problems, as a result of social rather … oral health conditions can lead to tooth loss, irreversible tooth damage, and other serious health
problems
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digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
June 16, 2021 - On the other hand, if we cannot fix this, our chances for fixing the larger
problems in the healthcare … Stopping your
medication without being told to do so by your doctor may cause problems and can make some … There is a lot of elements, it is
really expensive, and there is lots of problems associated with it; … But what we are dealing with is twofold: One is problems caused by putting the scheduling and convenience … On the whole, I believe that we have good data and a lot of lists of the potential problems that happen
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hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit5_8.jsp
January 01, 2008 - 145,700; congestive heart failure: 133,300; spondylosis, intervertebral disc disorders, and other back problems … stays), osteoarthritis (145,700 stays) and spondylosis, intervertebral disc disorders, and other back problems … Are you having problems viewing or printing pages on this website?
-
hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit4_1.jsp
January 01, 2008 - 11.2
10.5‡
4.1
3.7
2.9
1.1
Spondylosis, intervertebral disc disorders, and other back problems … conditions were musculoskeletal: osteoarthritis, spondylosis, intervertebral disc disorders, and other back problems … Are you having problems viewing or printing pages on this website?
-
hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit2_5.jsp
January 01, 2008 - 476‡
3.2
3.4
60.4
58.0
10
Spondylosis, intervertebral disc disorders, and other back problems … Osteoarthritis and back problems were also among the top conditions for private insurance. … Are you having problems viewing or printing pages on this website?
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digital.ahrq.gov/ahrq-funded-projects/effects-age-cognition-and-health-literacy-use-patient-emr/annual-summary/2011
January 01, 2011 - ability to use a patient portal of an EMR system, the study identified the root of a number of usability problems … and then proposed a set of empirically-based interventions to help those who are most likely to have problems … (Achieved)
Identify usability problems inherent in the use of patient portals and identify design solutions
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - Patient safety problems, similar to the two illustrative cases, are exceedingly common in the early discharge … They must be empowered to recognize and speak up about the development of important new health problems … Conclusion Safety problems frequently do occur at discharge. … Despite a preliminary understanding of what causes those problems, more research is needed to better … elucidate both the problems and potential solutions.
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digital.ahrq.gov/sites/default/files/docs/survey/patient-text-messaging-interview-guide.pdf
June 16, 2021 - Did you encounter any problems with sending or receiving the text messages as part
of the program? … Did you run into any other problems or obstacles related to the text
messaging program?
-
psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
September 02, 2016 - facility leaves 10 hospitalized
December 4, 2019
Insulin pumps have most reported problems … Related Resources
Top Penn State Health surgeon warned leaders about transplant problems
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psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
October 11, 2016 - June 27, 2016
Analysis of pharmacist-identified medication-related problems at two United … Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems